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L.BLAIR NIELSEN DC LLC NPI 1447525134


NPI Information

NPI: 1447525134
Provider Name: L.BLAIR NIELSEN, DC LLC
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
7254 E SOUTHERN AVE
113
MESA, AZ
ZIP 85209
Phone: (602) 803-5032
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L.BLAIR NIELSEN, DC LLC is a medical specialty clinic center in Mesa, AZ. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). L.BLAIR NIELSEN, DC LLC NPI is 1447525134. The provider is registered as an organization entity type.

The provider's business location address is:

7254 E SOUTHERN AVE
113
MESA, AZ
ZIP 85209-786
Phone: (602) 803-5032
Fax: (480) 452-0921

The provider's authorized official is Lawrence Blair Nielsen .
The authorized official title is Owner and has the following contact phone number (602) 803-5032.

The enumeration date for this NPI number is 3/14/2012 and was last updated on 3/14/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2500XClinic/CenterMedical Specialty4564ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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